Laura Elaine Gartley, COTA/L
Individual provider Active NPI Driving and Community Mobility Occupational Therapy Assistant · Corry, PA
NPI 1295100238 · NPPES record last updated Dec 2, 2015
Key facts
- NPI
- 1295100238
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driving and Community Mobility Occupational Therapy Assistant 224ZR0403X
- License
- OPDO7474 (PA)
- Practice address
- 640 Worth St
Corry, PA 16407-8515 - Phone
- (814) 664-9606
- Fax
- (814) 665-0036
- NPI assigned
- Dec 2, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPDO7474 | PA | MD | Driving and Community Mobility Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driving and Community Mobility Occupational Therapy Assistant | 224ZR0403X | OPDO7474 | PA | Yes |
Addresses
Primary practice location
640 Worth St
Corry, PA 16407-8515
Mailing address
1100 Shawnee Road
Lima, OH 45805
Phone (419) 999-2030
Other providers in Corry, PA
- Patricia V Einink
- Empowering Counseling Services, PC
- Gabrielle Eppolito-Holland
- Levi R Evalt
- Michael James Fedyshin
- Brenda L Gastecki
- Douglas Edward Gerzina
- Gwen Margaret Gleason
- Makayla Glover
- Marianne Gluvna
All providers in Corry, PA · Driving and Community Mobility Occupational Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.